Self-management programmes for people post stroke: a systematic review.

Abstract:

OBJECTIVE:To examine the evidence base underlying self-management programmes specific to stroke survivors. DATA SOURCES:Eleven electronic databases were searched using combinations of keywords related to stroke and self-management. REVIEW METHODS:Studies involving adults with a clinical diagnosis of stroke, which explored self-management interventions, were included. Study selection was verified by two reviewers who independently conducted methodological quality appraisal and data extraction using a tool developed by The American Academy for Cerebral Palsy and Developmental Medicine. RESULTS:Fifteen studies were included in this review. Significant treatment effects in favour of the self-management intervention were found in six out of nine randomized controlled trials, and three out of six non-randomized trials in our review. Four randomized controlled trials involving more than 100 participants per trial reported statistically significant results in favour of the self-management group in relation to measures of disability, confidence in recovery, the stroke specific quality of life (sub-scales of family roles and fine motor tasks), and the physical component scale of the short form SF-36 Score. The wide range of outcome measures used prevented comparison across studies. CONCLUSIONS:This review provides some preliminary support for the potential importance of self-management interventions after stroke. The most appropriate content and best approach for delivery of these interventions remains to be determined. Further high-quality randomized controlled trials are needed to test the feasibility, acceptability, and efficacy of stroke self-management programmes.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Lennon S,McKenna S,Jones F

doi

10.1177/0269215513481045

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

867-78

issue

10

eissn

0269-2155

issn

1477-0873

pii

0269215513481045

journal_volume

27

pub_type

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